| NPI | 1154872208 |
|---|---|
| Former Name | EVONNE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60716212) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00020042) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2020-07-08 |